Mira Vie at Warren Opco LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

MIRA VIE AT WARREN OPCO LLC

Doing business as

Mira Vie at Warren

Practice address

274 King George Rd
Warren, NJ 07059-5157

Phone

(908) 903-0911

Fax

(844) 808-0071

NPI assigned

May 7, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Bilile Abreu

Title

Director of Administration

Phone

(813) 330-2660

Specialties & licenses 1

Addresses

Other names 1

• Mira Vie at Warren Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1715040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715040000000",
    "number": "1710735618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4301 ANCHOR PLAZA PKWY STE 300",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336347521",
            "telephone_number": "813-330-2660",
            "fax_number": "844-808-0071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "274 KING GEORGE RD",
            "city": "WARREN",
            "state": "NJ",
            "postal_code": "070595157",
            "telephone_number": "908-903-0911",
            "fax_number": "844-808-0071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRA VIE AT WARREN OPCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-07",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "status": "A",
        "authorized_official_last_name": "ABREU",
        "authorized_official_first_name": "BILILE",
        "authorized_official_title_or_position": "DIRECTOR OF ADMINISTRATION",
        "authorized_official_telephone_number": "813-330-2660"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mira Vie at Warren",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Craig L Menker, DMD, CAGS
• Metabolic Wellness and Longevity Institute LLC
• Priscilla Miguez, D.O
• Nino Miminoshvili
• Mini Socialites, LLC
• MJ Care Services LLC
• MMM Health Services, Inc.
• Jessica M Mobus
• Madhu Mohan, D.M.D.
• Elaine Alexis Montouris, M.D.

• Assisted Living Facility in Warren, NJ
• Providers in Warren, NJ by specialty
• Assisted Living Facility in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.